Guber and coauthors report rates of cataract development and refractive outcomes 10 years after intraocular collamer lens (ICL) implantation for myopia. In a retrospective study of 133 eyes of 78 patients undergoing ICL implantations, the rate of lens opacity development was 40.9% and 54.8% at 5 and 10 years, respectively. Phacoemulsification was performed in 5 eyes (4.9%) and 18 eyes (18.3%) at 5 and 10 years, respectively. There was no significant increase in intraocular pressure until the 10-year follow-up when 12 eyes (12.9%) had developed ocular hypertension that required topical medication. This study suggests that the rates of cataract formation and ocular hypertension at 10 years after ICL implantation have important clinical implications.